Emma is a 28-year-old woman who comes to see you for a follow-up visit. You initially saw her 2 months ago for low mood and referred her for counselling. She states she is still feeling low and her feelings of anxiety are worsening. She is keen to try medication to help.
Emma has a 5-month-old baby and is breastfeeding.
Which of the following is the most appropriate medication for Emma to commence?
A 28-year-old woman contacts the clinic seeking guidance. She has missed taking her Cerazette contraceptive pill yesterday. Based on your calculation, it has been approximately 48 hours since she last took a Cerazette pill. She is typically diligent in taking her pills and has not missed any other pills in the last half-year. Her last sexual activity was eight days ago. What is the best advice to provide her?
A woman who is 16 weeks pregnant presents as she came into contact with a child who has Chickenpox around 4 days ago. She is unsure if she had the condition herself as a child. Blood tests show the following:
Varicella IgM Negative
Varicella IgG Negative
What is the most appropriate management?
A 30-year-old woman is seeking advice on which coil to use for contraception. She is concerned about the possibility of experiencing heavier or more painful periods. Additionally, she has a history of adult acne and noticed that her skin worsened while taking the progesterone-only pill. She wants to minimize the risk of this happening again by using a coil with the lowest amount of serum levonorgestrel (LNG). What coil would be the best option for her?
A 56-year-old woman comes to you with complaints of post-coital bleeding. She has been in menopause for two years. Upon conducting a full pelvic examination, you find everything to be normal, including the cervix. She has been experiencing these symptoms for the past eight weeks. The patient has a history of breast cancer and is currently taking tamoxifen. What would be your next course of action?
A woman aged 25 asks your practice nurse for advice on travel immunisations.
She is 16 weeks pregnant and is travelling to a rural part of Asia to visit her family as her father is very ill. She doesn’t know what vaccinations she may have had as a child and the practice doesn’t have any old records. The nurse wants to know if she can give the vaccines. Which vaccine should not be given to a pregnant woman?
A patient in her 60s requests a copy of her medical records. Which of the following documents is most relevant to fulfill this request?
Which of the following accurately defines the responsibilities of Caldicott guardians?
A 21 year old vegan patient presents at 10 weeks gestation. She has a history of febrile seizures and anxiety but is not on any regular medications. She is seeking advice on whether she should take any vitamin supplements during her pregnancy. What is the most appropriate recommendation?
A 20-year-old female comes in for a follow-up appointment. She had a Nexplanon implanted six months ago but has been experiencing light spotting on approximately 50% of days. Her medical history includes a first trimester abortion two years ago, but otherwise, she has no significant medical issues. A vaginal examination reveals no abnormalities, and she recently tested negative for sexually transmitted infections. What is the best course of action to take?